|
Sleep Study (Polysomnography)
|
$2,698.15 |
$2,698.15 |
$2,698.15 |
$3,936.80
|
|
Sleep study unattended
|
$969.80 |
$969.80 |
$969.80 |
$595.50
|
|
Sleeve fing rolyan med
|
$415.29 |
$415.29 |
$415.29 |
$167.31
|
|
Sling suprapubic suburetheral
|
$2,400.59 |
$2,400.59 |
$2,400.59 |
$10,395.47
|
|
Slp pure tone screening
|
$68.90 |
$68.90 |
$68.90 |
$67.60
|
|
Small bowel endoscopy
|
$3,549.65 |
$3,549.65 |
$3,549.65 |
$2,466.10
|
|
Small bowel endoscopy
|
$3,714.10 |
$3,714.10 |
$3,714.10 |
$2,244.82
|
|
Small bowel endoscopy
|
$4,291.30 |
$4,291.30 |
$4,291.30 |
$2,638.57
|
|
Small bowel endoscopy
|
$3,662.75 |
$3,662.75 |
$3,662.75 |
$2,244.82
|
|
Small bowel endoscopy
|
$4,303.65 |
$4,303.65 |
$4,303.65 |
$2,638.57
|
|
Small bowel endoscopy
|
$4,717.70 |
$4,717.70 |
$4,717.70 |
$2,734.20
|
|
Small bowel endoscopy
|
$2,975.05 |
$2,975.05 |
$2,975.05 |
$1,294.80
|
|
Small bowel endoscopy
|
$3,905.20 |
$3,905.20 |
$3,905.20 |
$2,244.82
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$4,342.00 |
$4,342.00 |
$4,342.00 |
$2,244.82
|
|
Small bowel endoscopy 44365
|
$3,608.15 |
$3,608.15 |
$3,608.15 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$3,658.20 |
$3,658.20 |
$3,658.20 |
$2,442.70
|
|
Small bowel endoscopy/biopsy
|
$4,525.30 |
$4,525.30 |
$4,525.30 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$1,261.31
|
|
Small bowel endoscopy br/wa
|
$3,905.20 |
$3,905.20 |
$3,905.20 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$7,243.60 |
$7,243.60 |
$7,243.60 |
$6,104.15
|
|
Smear fluorescent and/or acid fast stain
|
$70.20 |
$70.20 |
$70.20 |
$64.20
|
|
Smear gram stain
|
$52.65 |
$52.65 |
$52.65 |
$57.85
|
|
Smear nasal eosinophil
|
$82.55 |
$82.55 |
$82.55 |
$49.50
|
|
Smear special stain inclusion bodies/parasites
|
$417.30 |
$417.30 |
$417.30 |
$64.35
|
|
Smear wet mount
|
$191.75 |
$191.75 |
$191.75 |
$68.63
|
|
Smn1 gene full gene sequence
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$495.69
|
|
Smpd1 gene common variants
|
$640.90 |
$640.90 |
$640.90 |
$140.00
|
|
Snrpn/ube3a gene
|
$756.60 |
$756.60 |
$756.60 |
$228.80
|
|
Sodium 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$48.50
|
|
Sodium chloride 0.9 % intravenous solution
|
$46.38 |
$46.38 |
$46.38 |
$46.43
|
|
Sodium chloride 0.9 % IV bolus
|
$54.54 |
$54.54 |
$54.54 |
$51.51
|
|
Sodium chloride 0.9 % IV bolus
|
$68.15 |
$68.15 |
$68.15 |
$46.35
|
|
Sodium chloride 3 % ivpb
|
$45.01 |
$45.01 |
$45.01 |
$65.33
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$47.58 |
$47.58 |
$47.58 |
$104.00
|
|
Sodium serum/plasma/whole blood
|
$6.50 |
$6.50 |
$6.50 |
$42.70
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$345.74 |
$345.74 |
$345.74 |
$223.86
|
|
So gsap cl fr cpy nmbr&mcrst
|
$8,704.80 |
$8,704.80 |
$8,704.80 |
$1,345.31
|
|
So neo gsap dna/dna&rna
|
$11,606.40 |
$11,606.40 |
$11,606.40 |
$2,989.55
|
|
So neo gsap dna mcrstl ins
|
$9,188.40 |
$9,188.40 |
$9,188.40 |
$2,332.88
|
|
Special physics consult
|
$1,328.60 |
$1,328.60 |
$1,328.60 |
$700.74
|
|
Special radiation dosimetry
|
$445.25 |
$445.25 |
$445.25 |
$445.50
|
|
Special radiation treatment
|
$1,739.40 |
$1,739.40 |
$1,739.40 |
$1,934.03
|
|
Special teletx port plan
|
$3,186.30 |
$3,186.30 |
$3,186.30 |
$1,046.65
|
|
Specimen fat stain
|
$18.85 |
$18.85 |
$18.85 |
$32.76
|
|
Sperm antibody test
|
$144.95 |
$144.95 |
$144.95 |
$56.44
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$2,258.75 |
$2,258.75 |
$2,258.75 |
$1,502.08
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$772.85 |
$772.85 |
$772.85 |
$559.96
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$986.99 |
$986.99 |
$986.99 |
$366.66
|
|
Splint extn xsm w sof-stretch rolyan
|
$29.95 |
$29.95 |
$29.95 |
$41.58
|
|
Splint finger frog med
|
$13.31 |
$13.31 |
$13.31 |
$21.50
|
|
Splint rstrc wrst/cmc right med
|
$130.44 |
$130.44 |
$130.44 |
$73.11
|
|
Split blood or products
|
$186.55 |
$186.55 |
$186.55 |
$148.98
|
|
Srs linear based
|
$4,733.95 |
$4,733.95 |
$4,733.95 |
$14,124.25
|
|
St analysis behavior qualitative voice/resonance
|
$146.90 |
$146.90 |
$146.90 |
$300.00
|
|
Staph a dna amp probe
|
$202.15 |
$202.15 |
$202.15 |
$116.39
|
|
St cognitve performance testing healthcare professional each hour
|
$243.10 |
$243.10 |
$243.10 |
$313.96
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$23,179.00 |
$23,179.00 |
$23,179.00 |
$23,387.00
|
|
Stent axios caut enh 15x10mm electrocaut
|
$4,631.25 |
$4,631.25 |
$4,631.25 |
$39,270.00
|
|
Stent bili dbl pgtl 10fx5cm
|
$385.61 |
$385.61 |
$385.61 |
$1,206.15
|
|
Stent bili rx wallflx 10x80 uncvr
|
$804.70 |
$804.70 |
$804.70 |
$18,472.24
|
|
Stent iliac/open or perc/uni/init 37221
|
$17,707.30 |
$17,707.30 |
$17,707.30 |
$17,281.80
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$2,587.65 |
$2,587.65 |
$2,587.65 |
$9,276.80
|
|
Stent placemt retro carotid
|
$16,485.30 |
$16,485.30 |
$16,485.30 |
$9,313.36
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$25,422.80 |
$25,422.80 |
$25,422.80 |
$19,765.20
|
|
St evaluate speech sound production
|
$137.80 |
$137.80 |
$137.80 |
$300.00
|
|
St evaluate speech sound production comprehensive/expressive
|
$289.25 |
$289.25 |
$289.25 |
$393.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$380.25 |
$380.25 |
$380.25 |
$406.40
|
|
St evaluation swallow function
|
$358.15 |
$358.15 |
$358.15 |
$336.60
|
|
Strapping of ankle and/or ft 29540
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$248.05
|
|
Strapping of hand or finger
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$194.40
|
|
Strapping of toes 29550
|
$986.70 |
$986.70 |
$986.70 |
$185.36
|
|
Strep a dna dir probe
|
$113.10 |
$113.10 |
$113.10 |
$50.40
|
|
Strep b dna amp probe
|
$187.85 |
$187.85 |
$187.85 |
$139.20
|
|
Stress test pulmonary
|
$388.70 |
$388.70 |
$388.70 |
$327.20
|
|
Str markers spec anal addl
|
$464.10 |
$464.10 |
$464.10 |
$468.00
|
|
Str markers specimen anal
|
$925.60 |
$925.60 |
$925.60 |
$835.28
|
|
St treatment speech individual
|
$343.20 |
$343.20 |
$343.20 |
$254.15
|
|
St treatment swallow dysfunction/oral
|
$321.10 |
$321.10 |
$321.10 |
$261.60
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$73.64 |
$73.64 |
$73.64 |
$49.13
|
|
Sugars single quant
|
$113.10 |
$113.10 |
$113.10 |
$52.47
|
|
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution
|
$59.44 |
$59.44 |
$59.44 |
$71.09
|
|
Sulfonylurea screen qn-sendout
|
$191.75 |
$191.75 |
$191.75 |
$184.60
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$40.56 |
$40.56 |
$40.56 |
$91.67
|
|
Support clav 29.6-40.5in med
|
$106.48 |
$106.48 |
$106.48 |
$68.54
|
|
Surgical pathology level 1 gross examination only
|
$115.70 |
$115.70 |
$115.70 |
$92.59
|
|
Surgical pathology level 2 gross & microscopic examination
|
$238.55 |
$238.55 |
$238.55 |
$149.76
|
|
Surgical pathology level 3 gross & microscopic examination
|
$275.60 |
$275.60 |
$275.60 |
$192.00
|
|
Surgical pathology level 4 gross & microscopic examination
|
$531.05 |
$531.05 |
$531.05 |
$253.75
|
|
Surgical pathology level 5 gross & microscopic examination
|
$405.60 |
$405.60 |
$405.60 |
$494.00
|
|
Surgical pathology level 6 gross & microscopic examination
|
$518.70 |
$518.70 |
$518.70 |
$790.00
|
|
Susceptibility agar dilution per agent
|
$65.00 |
$65.00 |
$65.00 |
$40.30
|
|
Susceptibility enzyme detection per enzyme
|
$40.30 |
$40.30 |
$40.30 |
$34.48
|
|
Susceptibility mic per plate
|
$163.15 |
$163.15 |
$163.15 |
$94.38
|
|
Suscept studies macrobroth dilution ea
|
$265.85 |
$265.85 |
$265.85 |
$48.30
|
|
Svc venogram s&i
|
$1,566.50 |
$1,566.50 |
$1,566.50 |
$1,908.00
|
|
Synvisc or synvisc-one
|
$1,415.99 |
$1,415.99 |
$1,415.99 |
$1,415.99
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$52.65 |
$52.65 |
$52.65 |
$44.85
|
|
System cardiomems hosp electronics
|
$10,481.25 |
$10,481.25 |
$10,481.25 |
$41,360.00
|
|
T3 (triiodothyronine) free
|
$24.05 |
$24.05 |
$24.05 |
$89.82
|
|
T3 (triiodothyronine) total
|
$22.75 |
$22.75 |
$22.75 |
$94.90
|
